CA2132889C - Switchable filter for rezeroing an in vivo pressure sensor - Google Patents

Switchable filter for rezeroing an in vivo pressure sensor

Info

Publication number
CA2132889C
CA2132889C CA002132889A CA2132889A CA2132889C CA 2132889 C CA2132889 C CA 2132889C CA 002132889 A CA002132889 A CA 002132889A CA 2132889 A CA2132889 A CA 2132889A CA 2132889 C CA2132889 C CA 2132889C
Authority
CA
Canada
Prior art keywords
filter
filter circuit
circuit
output signal
signal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA002132889A
Other languages
French (fr)
Other versions
CA2132889A1 (en
Inventor
John W. Raynes
Gary Altman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Becton Dickinson and Co
Original Assignee
Becton Dickinson and Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Becton Dickinson and Co filed Critical Becton Dickinson and Co
Publication of CA2132889A1 publication Critical patent/CA2132889A1/en
Application granted granted Critical
Publication of CA2132889C publication Critical patent/CA2132889C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/0215Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02156Calibration means

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

A filter for rezeroing an in-vivo pressure sensor is disclosed. The filter operates in a signal mode and a rezero mode. In the signal mode, the filter is a low pass filter which filters out noise. In the rezero mode, the filter is a low pass filter which filters out the dynamic components of an in-vivo pressure signal caused bythe rezeroing of the pressure sensor. The filter is switchable between the signal and rezero modes. The filter is implemented by means of an active two pole RC filterwith a Butterworth response. A circuit is provided to shorten the time in which the filter reaches its final response characteristic. Also disclosed is a method forprocessing an output from an in vivo pressure transducer, the output signal comprising noise, a mean pressure signal and a dynamic pressure signal. The method comprises the steps of: receiving as an input, the output signal from thepressure transducer; filtering out the noise from the received input by means of a first filter circuit; and, filtering out the dynamic pressure signal while passing the mean pressure signal by connecting a second circuit to the first filter circuit.

Description

_ ~ ~1 3~8 ~
Exprcss Mail Labcl No. TB214589X70 Datc of Dcposit: Scr~tcmbcr 28, 1993 PATENT APPLICATION Ol~ JOHN RAYNES AND GARY ALTMAN

SWITCHABLE FILTER FOR REZEROINGANIN VIVO PRESSURE
SENSOR

BACKGROUND

In the course of medical treatment, it is often desirable to measure the blood pressure of a patient. In the past this has been done by means of external pressure transducers. More recently, blood pressure has been measured by the placement of15 a pressure transducer directly inside a blood vessel of the patient or inside a catheter which is placed inside the patient's blood vessel. The placement of the transducer inside a blood vessel enables the observation of blood pressure waveforms havinghigh dynamic fidelity.

All known blood pressure transducers experience some drift in their in their outputs at zero pressure. They must therefore be rezeroed to atmospheric pressure periodically. Rezeroing is typically accomplished by a control on the monitor towhich the transducer is connected which adjusts the measured output signal to correct for the offset observed at zero (atmospheric) pressure.
Rezeroing a transducer placed inside the blood vessel presents unique difficulties, since the temporary removal of the transducer from the blood vessel to vent the tip of the atmosphere is a difficult procedure which presents risks to the patient when conventional rezeroing methods are used.
An in-vivo pressure transducer typically comprises a Wheatstone bridge mounted at least partially on a diaphragm. Rezeroing involves the eqll~li7~ion of the pressure on the bottom side of the diaphragm with that on the top side of the diaphragm. A method and apparatus for rezeroing a pressure transducer in-vivo are described in U.S. Patent No. 5,203,340. Using ' ~3 213288~ P-2766 ._ .
the method and apparatus described and claimed in U.S. Patent No. 5,203,340, thetransducer can be rezeroed without removing the transducer from the blood vessel.

The in-vivo rezeroing of a pressure transducer has a peculiar limitation. The 5 blood pressure typically seen by a pressure transducer in-vivo is dynamic and pulsatile. It takes a certain length of time for a pressure pulse wave to travel from the tip of the catheter, in which the transducer resides and at which the pressure wave impinges upon one side of the pressure transducer diaphragm, along the lumen of the catheter, through the rezeroing device and back to the other side of the 10 pressure transducer diaphragm to accomplish the rezeroing. Thus, while the mean pressure on the diaphragm may be zero, a pulse artifact remains causing fluctuations of pressure about the mean. -Typical pressure monitors are adapted to detect pressure based on hydraulic 15 coupling between the transducer and blood vessel. In such cases rezeroing isaccomplished by means of an external stop-cock which can be used to establish an atmospheric datum pressure without producing any pulsations. Some monitors reject pressure pulses as being uncharacteristic of pressure transducers which are in the process of being rezeroed. Other monitors do not reject pulses but average the 20 signals. They may not average the signals over a sufficiently long period of time to prevent integration errors. Either of these monitor characteristics will seriously limit the use of in-vivo pressure transducers'using the method of rezeroing described above. There is therefore a need for a means by which an in-vivo transducer can be adapted for simple and effective rezeroing when used with typical pressure 25 monitors.

SUMMARY OF THE INVENTION

The present invention is an apparatus for processing an output from an in vivo 30 pressure transducer. The output signal is made up of noise, a mean pressure signal and a dynamic pressure signal. The apparatus is made up of the following: an input for receiving the output signal from the pressure transducer and a first filter circuit for filtering out the noise. The first filter circuit is connected to the input of the apparatus. A second circuit is provided for filtering out the dynamic pressure signal 35 while passing the mean pressure signal. The second circuit is connected to the first ~ 13 :2 8 8 9 P-2766 filter circuit. The first filter circuit has an output for connecting the apparatus to a monitor.

A switch is provided for selectively electrically connecting the first filter 5 circuit to the second filter circuit. The first and second filter circuits have low pass characteristics. In a second, less preferred embodiment, the first filter circuit is omitted.

The invention also includes a method for processing an output from an in vivo 10 pressure transducer, the output signal comprising noise, a mean pressure signal and a dynamic pressure signal. The method comprises the steps of: receiving as an input, the output signal from the pressure transducer; filtering out the noise from the received input by means of a first filter circuit; and, filtering out the dynamic pressure signal while passing the mean pressure signal by connecting a second 15 circuit to the first filter circuit.

BRIEF DESCRIPTION OF THE DRAWINGS

Fig. 1 is a block diagram of a typical blood pressure monitoring configuration 20 lltili7ing the invention;

Fig. 2 is a schematic diagram of the invention.

DETAILED DESCRIPTION
Circuit 10 is part of signal conditioning circuit 6 linked to in-vivo sensor 2 and monitor 8. Pressure sensor 2 is capable of being rezeroed by ex-vivo rezero device 4.

Circuit 10 has input 12 which receives output signal Vin from the in vivo pressure transducer (not shown). Vin is made up of noise, a mean pressure signaland a dynamic pulsatile signal. Circuit 10 has an output 26 for connection to a standard blood pressure monitor. Circuit 10 can be divided into three main circuits, 14, 16 and 18. Switch 20 activates circuits 14 and 16 through debounce circuit 18.
Circuit 10 operates in two modes: signal mode and rezero mode.

- 21328~9 P-2766 Circuit 14 can be regarded as two circuits. The first circuit is a low pass filter made up of resistors Rl and R2, capacitors C1 and C2 and amplifier Ul. The second circuit is a low pass filter made up of resistors Rl and R2, capacitors CJ 7 C2 5 and C3 and amplifier Ul. The first and second circuits are thus electrically connected to each other. Circuit 14 is a switched low pass filter which has a first corner frequency in the signal mode and a second corner frequency in the rezero mode. The first corner frequency is chosen to filter out noise and artifact while preserving the frequencies necessary to monitor blood pressure. The second corner 10 frequency is chosen to filter out the dynamic pulsatile signal. Third circuit 16 is a switching circuit, the purpose of which will become apparent.

Fourth circuit 18 is a debounce circuit with a built in time delay. Mode select switch 20 allows the user to select signal or~rezero modes. Inverters U2 and U3 are 15 Schmitt triggers. Resistor R6 and capacitor C4 prevent unwanted momentary switch closures or openings from being passed to circuits 14 and 16. When switch20 is open and circuit 10 is in signal mode, resistor Rs pulls input 30 of inverter U2 to ground. Output 32 of inverter U2 thus goes into a high state which causes input 34 of inverter U3 to go into a high state after a time delay caused by the 20 combination of resistor R6 and capacitor C4. The high state of input 34 of inverter U3 causes output 28 of inverter U3 to be in a low state. Output 28 of circuit 18 is connected to input 36 of circuit 14 and input 38 of circuit 16.

When switch 20 is closed and circuit 10 is put into the rezero mode, input 30 25 of inverter U2 is held high by resistor R4 due to the fact that Rs is chosen to be much larger than R4. R4 merely provides electro-static discharge protection. It could be removed with no effect on the functionality of the circuit. Output 32 of inverter U2 is thus low. Input 34 of inverter U3 goes low after a time delay caused by resistor R6 and capacitor C4. Output 28 of circuit 18 is therefore high, switching 30 on switch 22 of circuit 14.

When circuit 10 is in the signal mode, analog switches 22 and 24 are open.
Circuit 14 is thus made up of first circuit 14a comprising resistors Rl and R2 (first resistance) and capacitors Cl, C2 (first capacitance) and amplifier Ul. Damping 35 capacitor C3 (second capacitance) and resistor R3 have no effect on the operation of circuit 14. Second circuit 14b comprises, in addition to Rl, R2, Cl and C2 and ~32 8 8 ~ P-2766 _ amplifier U1, damping capacitor C3 and resistor R3. Signal Vin passes through - circuit 14 to output 26 and appears as a low pass filtered signal VOUt at output terminal 26. Thus, when switch 20 is open~ circuit 14 acts as a two pole active RC
filter (first circuit 14a). Resistors R1 and R2 and capacitors C1 and C2 are chosen 5 so that circuit 14 has a Butterworth response with a 3dB point preferably at 150 Hz.
However, a pole in a range from 3 Hz to 20,000 Hz is within the scope of the invention. This configuration provides a low pass noise filter. Persons of ordinary skill in the art will recognize that this circuit 10 could be provided by a variety of filter circuits depending upon the degree of noise attenuation which is required.
10 Thus in a second, less preferred embodiment, components C1 and C2 of first circuit 14a can be omitted and second circuit 14b can be connected directly to input 12.
When switch 20 is closed, circuit 18 causes output 28 to go high as described above. Circuit 10 is thus in the rezero mode. Consider circuit 14, ignoring for the 15 moment circuit 16. When output 28 of circuit 18 goes high due to the closing of switch 20, switch 22 closes. Circuit 14 now becomes second circuit 14b includingcapacitor C3 in parallel with capacitor C2. C3 is chosen to be large in comparison with C2. Since C2 and C3 are in parallel, and since C3 is much larger than C2, the combination of R1 and R2 with C3 form a dominant pole. Thus circuit 14 is now a 20 low pass filter with a lower corner frequency which f1lters out the dynarnic, pulsatile component of Vin and passes only the mean pressure signal. The 3dB point of thisfilter is chosen to be at approximately less than I Hz preferably in a range from 0.01 Hz to 1 Hz.

Now consider the operation of third circuit 16. Since C3 is large, it takes a long time to charge. Therefore, in the absence of circuit 16, output 26 will have an unacceptably long time to approach final value to sufficient accuracy, in the region of 20 seconds. When line 28 goes high, input 38 of circuit 16 is high. This causes switch 24 to be closed. Resistor R3 is chosen to be much smaller than R1+R2 (about 100 times). Capacitor C3 therefore charges through resistor R3 rather than through resistors R1 and R2. This causes capacitor C3 to charge very quickly. The rapid charging allows output 26 to approach final value much faster, in the region of 1 second. If input 38 of circuit 16 remains high, input 40 of switch 24 is pulled to ground after a short time delay caused by the combination of resistor R7 and capacitor Cs. As a result switch 24 opens after the time delay. Switch 22 remains 2 1 32 ~ ~ ~ P-2766 closed as long as switch 20 remains elosed. Capacitor C3 remains connected to - resistor R2 and circuit 14 functions as a low pass filter as described above.

Those of ordinary skill in the art will recognize that a leakage eurrent will 5 flow through eapaeitors C2 and C3 and resistors Rl and R2. This leakage ~ ent may cause errors in output 26 (VOut). Changes in the leakage eurrents of switehes 22 and 24 may also cause errors in VOut. The selection of switches 22 and 24 andcapaeitor C3 and their eonfiguration with the other elements of eireuits 14 and 16 are important. It has been found that selecting 74HC4316 switehes for switehes 22 10 and 24 and a polypropylene capacitor for capacitor C3 minimi7es the effects of leakage currents. Switch 20 can be remotely operated at monitor 8 or at rezero device 4.

Persons of ordinary skill in the art will appreciate that the above described 15 invention could be implemented in a variety of ways. For example by means of digital filtering or switched capacitor technigues.

The above description is of a preferred embodiment of the invention. It is intended to be exemplary and not limiting.

Claims (17)

1. An in vivo pressure signal processing system comprising:
an in vivo pressure transducer for sensing an in vivo pressure and generating a sensor output signal that includes noise, a mean pressure signal, and a dynamic pressure signal;
a first filter circuit having an input connected to said transducer for receiving the sensor output signal, where the first filter circuit filters noise from the sensor output signal and generates a first filter output signal composed of the mean pressure signal and the dynamic pressure signal;
a second filter circuit having an input for receiving the first filter output signal, where the second filter circuit filters the dynamic pressure signal fromthe first filter output signal and generates a second filter output signal composed of the mean pressure signal;
a first switch for selectively connecting the second filter circuit input to the first filter circuit;
wherein the in vivo pressure may be determined from the first filter output signal when the second filter circuit input is not connected to the firstfilter circuit and the in vito pressure transducer may be rezeroed using the second filter output signal when the second filter circuit input is connected tothe first filter circuit.
2. The apparatus of claim 1 wherein the first filter circuit has a low pass characteristic.
3. The apparatus of claim 1 wherein the first filter circuit has a Butterworth response.
4. The apparatus of claim 1 wherein the first filter circuit has a first pole ata first frequency and such that when the first filter circuit and the second filter circuit are electrically connected, the first pole is shifted in frequency such that it dominates the frequency response of the apparatus.
5. The apparatus of claim 4 wherein the first pole is at a higher frequency than a second pole.
6. The apparatus of claim 5 wherein when the first filter circuit is not connected to the second filter circuit, the first pole is in a range from 3 Hz to 20,000 Hz and when the first filter circuit is connected to the second filter circuit, the first pole is in a range from 0.01 Hz to 1 Hz.
7. The apparatus of claim 1 wherein the first filter circuit comprises a first resistance (R1 and R2) and a first capacitance (C1 and C2) and the second filtercircuit comprises a second capacitance (C3), the second capacitance being larger than the first capacitance.
8. The apparatus of claim 7 further comprising a third circuit comprising:
a second resistance (R3); and a second switch for selectively electrically connecting the second resistance to the second capacitance.
9. The apparatus of claim 8 wherein the third circuit is connected between the input to the first filter circuit and the second filter circuit for controlling the second switch such that the second switch electrically connects the second resistance to the second capacitance only for a predetermined time.
10. The apparatus of claim 8 wherein the first switch is located remote from the in vivo pressure transducer.
11. The apparatus of claim 8 wherein the first switch is located at the monitor.
12. The apparatus of claim 1, further comprising a monitor connected to receive the first filter output signal.
13. A method for processing an output signal from an in vivo pressure transducer, the output signal comprising noise, a mean pressure signal, and a dynamic pressure signal, the method comprising the steps of:
receiving as an input the output signal from the pressure transducer;
filtering out the noise from the received input in a first filter circuit and outputting a first filter output signal for use in determining in vivo pressure;temporarily connecting a second filter circuit to the first filter circuit to filter out the dynamic pressure signal while outputting a second filter output signal composed of the mean pressure signal for use in rezeroing the pressure transducer.
14. The method of claim 13 wherein the step of filtering out the noise includes the step of passing the received input through a low pass filter.
15. The method of claim 13 wherein the step of filtering out the noise includes the step of passing the received input through a filter having a Butterworth response.
16. The method of claim 13 wherein the first filter circuit has a first pole at a first frequency and such that the step of temporarily connecting the second filter circuit to the first filter circuit shifts the first pole in frequency such that it dominates the frequency response of the apparatus.
17. The method of claim 16, wherein the step of temporarily connecting the second filter circuit to the first filter circuit shifts the first pole of the first filter circuit from the range 3 Hz-20000 Hz to the range 0.01 Hz -1.0 Hz.
CA002132889A 1993-09-28 1994-09-26 Switchable filter for rezeroing an in vivo pressure sensor Expired - Fee Related CA2132889C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/127,849 1993-09-28
US08/127,849 US5460183A (en) 1993-09-28 1993-09-28 Switchable filter for rezeroing an in vivo pressure sensor

Publications (2)

Publication Number Publication Date
CA2132889A1 CA2132889A1 (en) 1995-03-29
CA2132889C true CA2132889C (en) 1999-01-12

Family

ID=22432282

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002132889A Expired - Fee Related CA2132889C (en) 1993-09-28 1994-09-26 Switchable filter for rezeroing an in vivo pressure sensor

Country Status (4)

Country Link
US (1) US5460183A (en)
EP (1) EP0645116A1 (en)
JP (1) JP2607849B2 (en)
CA (1) CA2132889C (en)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996026673A1 (en) * 1995-02-27 1996-09-06 Medtronic, Inc. External patient reference sensor
US6120457A (en) * 1997-07-02 2000-09-19 Johnson & Johnson Professional, Inc. In vivo zeroing of catheter pressure sensor
DE10065022A1 (en) * 2000-12-23 2002-07-04 Bosch Gmbh Robert Method and device for adjusting the offset of a pressure value
US6585660B2 (en) * 2001-05-18 2003-07-01 Jomed Inc. Signal conditioning device for interfacing intravascular sensors having varying operational characteristics to a physiology monitor
US20050197585A1 (en) * 2004-03-06 2005-09-08 Transoma Medical, Inc. Vascular blood pressure monitoring system with transdermal catheter and telemetry capability
CN105249946B (en) * 2015-10-26 2018-05-15 武汉思创电子有限公司 A kind of invasive blood pressure Acquisition Circuit for suppressing temperature drift

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3671889A (en) * 1970-06-01 1972-06-20 Hollice A Favors Broadband composite filter circuit
US3938506A (en) * 1974-08-05 1976-02-17 Medtronic, Inc. Blood pressure monitoring system
GB1534319A (en) * 1976-08-20 1978-11-29 Cossor Ltd A C Electrical filter networks
JPS5930274B2 (en) * 1977-11-15 1984-07-26 ロ−ランド株式会社 Echo unit using variable cut-off frequency filter
US4672974A (en) * 1985-06-14 1987-06-16 Lee Arnold St J Method and apparatus for "zeroing" and calibrating a catheter-tip gauge-pressure transducer
US4796184A (en) * 1986-08-01 1989-01-03 Cas Medical Systems, Inc. Automatic blood pressure measuring device and method
US5191327A (en) * 1990-06-19 1993-03-02 The United States Of America As Represented By The Secretary Of The Air Force Programmable remote transducer with filtering, differentiation, integration, and amplification
JP2975700B2 (en) * 1991-02-16 1999-11-10 日本コーリン株式会社 Blood pressure monitoring device
US5280790A (en) * 1993-01-25 1994-01-25 Spacelabs Medical, Inc. Automatic blood pressure monitor having reduced data loss sensitivity to cuff pressure changes

Also Published As

Publication number Publication date
EP0645116A1 (en) 1995-03-29
CA2132889A1 (en) 1995-03-29
US5460183A (en) 1995-10-24
JP2607849B2 (en) 1997-05-07
JPH07163530A (en) 1995-06-27

Similar Documents

Publication Publication Date Title
US4235242A (en) Electronic circuit permitting simultaneous use of stimulating and monitoring equipment
US4446872A (en) Method and apparatus for determining systolic time intervals
US5247939A (en) Detection of electrode/patient motion and fast restore limits
EP0634135B1 (en) Device for filtering ECG signals
US5417221A (en) Method and apparatus for distinguishing electric signal waveforms
US4899760A (en) Noise rejecting detector for biomedical signals
US5463346A (en) Fast response low-pass filter
JPH0852117A (en) Patient monitor
CA2132889C (en) Switchable filter for rezeroing an in vivo pressure sensor
JPH09131330A (en) Pulse detecting method of electrocardiogram monitor and pacemaker and method of rejecting artifact
EP0551815A1 (en) Pressure signal processing apparatus and method for an automatic blood pressure gauge
EP1302165A1 (en) Pulse-wave-characteristic-point determining apparatus, and pulse-wave-propagation-velocity-related-information obtaining apparatus employing the pulse-wave-characteristic-point determining apparatus
US4106498A (en) Initialization circuit
US5532951A (en) Device for eliminating ringing in filtered ECG signals
Grimbergen et al. DC rejection and deblocking in multichannel bioelectric recordings
CN206044616U (en) A kind of circuit and sphygomanometer for extracting non-invasive blood pressure Korotkoff's Sound
JPH0327606Y2 (en)
EP0486399A1 (en) Biopotential amplifier
EP4417115A1 (en) Blood pressure signal processing
JPH0131202Y2 (en)
GB2147475A (en) Differential stethoscope
CN106037699A (en) Circuit for extracting non-invasive blood pressure Korotkoff's sound and sphygmomanometer
JPH04122238A (en) Oscillometric type automatic hemadinamometer
Altrabsheh et al. Detecting the split within heart sounds using a switched-capacitor filter
JPS609811B2 (en) Korotkoff sound recognition circuit

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed